| NPI | 1881030419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVINDER BHATIA Nurse Practitioner 510-468-9184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA NP 13788) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |